Test Bank Ham's Primary Care Geriatrics A Case-Based Approach 6th Edition
Table of Contents Chapter 1. Principles of Primary Care of Older Adults
... [Show More] ................................ ................... 2 Chapter 2. Interprofessional Team Care ................................ .............................. 10 Chapter 3. Assessment ................................ ................................ ............ 19 Chapter 4. Wellness and Prevention ................................ ................................ . 27 Chapter 5. Advanced Cultural Competency in Caring for Geriatric Patients ................................ . 35 Chapter 6. Appropriate Prescribing ................................ ................................ .. 43 Chapter 7. Ethics ................................ ................................ ................. 51 Chapter 8. Financing and Organization of Health Care ................................ .................. 59 Chapter 9. Billing and Coding ................................ ................................ ....... 62 Chapter 10. Hospital Care ................................ ................................ .......... 72 Chapter 11. Long-Term Care ................................ ................................ ....... 77 Chapter 12. Home Care ................................ ................................ ............ 89 Chapter 13. Rehabilitation ................................ ................................ ......... 98 Chapter 14. Palliative Care ................................ ................................ ........ 106 Chapter 15. Emergency Care ................................ ................................ ...... 112 Chapter 16. Delirium ................................ ................................ ............. 123 Chapter 17. Alzheimer’s Disease and Other Dementias ................................ ................ 127 Chapter 18. Depression ................................ ................................ ........... 135 Chapter 19. Balance, Gait and Mobility ................................ .............................. 139 Chapter 20. Falls ................................ ................................ ................ 147 Chapter 21. Dizziness ................................ ................................ ............ 155 Chapter 22. Syncope ................................ ................................ ............. 157 Chapter 23. Urinary Incontinence ................................ ................................ .. 158 Chapter 24. Constipation and Fecal Incontinence ................................ ..................... 166 Chapter 25. Hearing Impairment ................................ ................................ ... 174 Chapter 26. Visual Impairment and Eye Problems ................................ .................... 186 Chapter 27. Persistent Pain ................................ ................................ ....... 199 Chapter 28. Malnutrition and Feeding Problems ................................ ...................... 206 Chapter 29. Frailty ................................ ................................ ............... 214 Chapter 30. Pressure Ulcers ................................ ................................ ....... 222 Chapter 31. Sleep Disorders ................................ ................................ ....... 228 Chapter 32. Sexual Health ................................ ................................ ......... 236 Chapter 33. Mistreatment and Neglect ................................ .............................. 244 Chapter 34. Alcoholism ................................ ................................ ........... 247 Chapter 35. Driving ................................ ................................ .............. 252 Chapter 36. Hypertension ................................ ................................ ......... 254 Chapter 37. Coronary Artery Disease and Atrial Fibrillation ................................ ............ 268
1 | P a g eChapter 38. Congestive Heart Failure ................................ ............................... 275
Chapter 39. Peripheral Vascular Disease ................................ ............................ 288
Chapter 40. Transient Ischemic Attacks and Stroke ................................ ................... 302
Chapter 41. Diabetes Mellitus ................................ ................................ ..... 314
Chapter 42. Thyroid Disorders ................................ ................................ ..... 327
Chapter 43. Osteoporosis ................................ ................................ ......... 335
Chapter 44. Arthritis and Related Disorders ................................ ......................... 349
Chapter 45. Foot Problems ................................ ................................ ........ 362
Chapter 46. Cancer ................................ ................................ .............. 373
Chapter 47. Anemia ................................ ................................ .............. 381
Chapter 48. Pulmonary Disease ................................ ................................ .... 397
Chapter 49. Infectious Diseases ................................ ................................ .... 404
Chapter 50. The Acute Abdomen ................................ ................................ ... 412
Chapter 51. Benign Prostate Disease ................................ ................................ 427
Chapter 52. Parkinson’s Disease ................................ ................................ ... 436
Chapter 53. Oral Disorders ................................ ................................ ........ 437
Chapter 54. Skin Problems ................................ ................................ ........ 439
Chapter 1. Principles of Primary Care of Older Adults
2 | P a g eMULTIPLE CHOICE
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a.
promote the practice of gerontologic nursing within the acute care setting.
b.
c.
d.
define the concepts and dimensions of gerontologic nursing practice.
elevate the practice of gerontologic nursing.
incorporate suggested interventions from others who practice gerontologic nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended to
promote gerontologic nursing practice within acute care settings, define concepts or dimensions of
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:
a.
b.
c.
d.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical that the
individual nurse self-reflect on personal feelings and determine whether such feelings will affect the
nursing care that he or she provides to the aging patient. Acting as an advocate is an important nursing
role in all settings. Simply accepting a fact does not help end ageism, nor does recognizing ageism as a
form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurse includes the importance of:
a.
increased availability of in-home care services.
b.
c.
d.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the development
of antibiotics, better sanitation, and vaccines. These public health measures have been more instrumental
in increasing the numbers of healthy, independent older Americans than have in-home care services,
government programs, or life-extending therapies.
3 | P a g e
government support of retired citizens.
effective antibiotic therapies.
the development of life-extending therapies.
recognize that nurses must act as advocates for aging patients.
accept that this population represents a substantial portion of those requiring nursing care.
self-reflect and formulate ones personal view of aging and the older patient.
recognize ageism as a form of bigotry shared by many Americans.DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the
nurse includes the patients:
a.
nonrelated caretaker.
b.
c.
d.
paid caregiver.
family member.
intuitional
representative. ANS: C
Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members. DIF: Applying (Application) REF: N/A OBJ: 3-3
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
5. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be the patients:
a.
age.
b.
c.
d.
financial status.
gender.
functional status.
ANS: D
Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization. DIF:
Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
TOP: Nursing Process: Planning MSC: Physiologic Integrity
6. A nurse working with the older adult population is most likely to assess a need for a financial
social services referral for a(n):
a.
white male.
b.
c.
d.
ANS: B
The poverty rate among older black women is substantially higher than that seen among males or
females of other ethnic groups. White males had the least poverty. DIF: Applying (Application) REF: N/A
OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
7. Which of the following statements made by a nurse preparing to complete a health assessment
and history on an older patient reflects an understanding of the general health status of this
population?
a.
black female.
Hispanic male.
Asian American female.
Ill need to document well regarding the medications the patient is currently prescribed.
4 | P a g eb.
c.
d.
I would like to understand how supportive the patients family members are.
Most older patients are being treated for a variety of chronic health care issues.
It will be interesting to see whether this patient sees herself as being
healthy. ANS: D
It is a misconception that old age is synonymous with disease and illness. The nurse should
always determine the patients sense of wellness and independence when conducting a health and history
assessment. An assessment of medication use and family support is important for any patient. Many older
adults do have chronic health conditions, but their perception is more important than a single number.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Health Promotion
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about the patients pending
transfer to a subacute care facility. What response by the nurse is best?
a.
Acute care facilities lack the long-term physical therapy support your dad requires.
b.
c.
d.
ANS: C
The transfer of the patient to a subacute facility is based on the need to maintain the patients
level of function and independence, a task the acute care facility is not prepared to address once the
patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse
should not make this judgment. It is true that insurance only pays for a limited amount of time in an acute
care facility, but this is not the best reason for the patient to transfer.
DIF: Applying (Application) REF: N/A OBJ: 1-6 TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
9. To best assure both the quality of care and the safety of the older adult patient who requires
in- home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
a.
evaluates the competency of the UAP staff.
b.
c.
d.
ANS: A
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse
must assume more responsibility for educating, training, and evaluating the competency of UAP staff to
provide safe, effective care for the older adult patient.
DIF: Applying (Application) REF: N/A OBJ: 1-2
TOP: Communication and Documentation MSC: Safe and Effective Care Environment
10. The nurse working with older adults understands what information about certification
5 | P a g e
assumes the roles of case manager and patient advocate.
arranges for the needed UAP provided services.
assesses the patient for functional limitations.
Your dad will be much happier in a more serene, private environment.
The subacute facility will focus on helping your dad maintain his independence.
Insurance, including Medicare, will cover only a limited amount of time here.in gerontologic nursing?
a.
It is mandatory for those in long-term care settings.
b.
c.
d.
ANS: B
Certification is voluntary and shows that a nurse has additional knowledge and expertise in a
certain area of practice. It is not mandatory in specific care settings. It does not allow for third- party
reimbursement. It may be part of a career ladder program, but that is not true of all work settings.
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-2
TOP: Teaching-Learning MSC: Safe Effective Care Environment
11. A nurse works in a gerontologic clinic. What action by the nurse takes highest priority?
a.
Serving as a patient advocate
b.
c.
d.
care ANS: C
One of the challenges and priorities of the gerontologic nurse is helping patients maintain their
independence.
DIF: Remembering (Knowledge) REF: msc: 10 OBJ: 1-2
TOP: Nursing Process: Implementation MSC: Health Promotion
12. A nurse is caring for an older patient in the emergency department. What information about
the patient will be most helpful in creating a plan of care?
a.
Baseline physical and cognitive functioning
b.
c.
d.
ANS: A
The nurse is encouraged to view older patients as individuals and consider their baseline physical
and cognitive functional status as a standard by which to compare the patients current status. The other
information is also important, but the basis of individualized care begins with the patients strengths and
weaknesses.
DIF: Applying (Application) REF: N/A OBJ: 1-6
TOP: Nursing Process: Assessment MSC: Health Promotion
13. The faculty member explains to students that many older Americans continue to work past
the retirement age. What best explains this trend?
a.
Feeling healthier longer
6 | P a g e
Living conditions and family support
Medications and current medical problems
Results of the Mini Mental State examination
Educating patients about diseases
Helping patients remain independent
Referring patients to home health
It is voluntary and shows clinical expertise in an area.
It allows nurses to be paid by third-party payers.
It allows nurses to advance their careers in a job.b.
c.
d.
ANS: B
As financial situations may have declined as a result of many economic factors, more older
adults work past their retirement age. The other options may be reasons for some to continue working,
but financial necessity is the reason the majority continue to do so.
DIF: Remembering (Knowledge) REF: msc: 7 OBJ: 1-3 TOP: Teaching-Learning MSC: Health Promotion
14. What information does the faculty member teach students about Medicare?
a.
Covers anyone with end stage renal disease
b.
c.
d.
ANS: A
Although Medicare is primarily for those over the age of 65, it does cover people of any age with
end-stage kidney disease. Part A covers hospital costs. Part B is medical insurance. The donut hole was
fixed by the Affordable Care Act.
DIF: Understanding (Comprehension) REF: msc: 9 OBJ: 1-3 TOP: Teaching-Learning MSC: Health Promotion
15. A nursing manager notes that many older patients are admitted to the nursing unit for
acute problems. What action can the manager take to most benefit this population?
a.
Provide mandatory education on the needs of the older patient.
b.
c.
d.
ANS: B
Many older adults need acute care for sudden illness and injury but live in a state of functional
decline, which could possibly be prevented by establishing a restorative therapy program. The other
actions will help the older patients cared for in the unit, but only to limited degrees.
DIF: Applying (Application) REF: N/A OBJ: 1-4
TOP: Nursing Process: Implementation MSC: Physiologic Integrity: Reduction of Risk Potential
16. The dean of a new nursing program wishes to ensure graduates are prepared to care for
older patients. What document should guide the dean in designing the curriculum?
a.
The Nurse Practice Act for that state
b.
c.
d.
ANS: D
7 | P a g e
The American Nurses Association (ANA) code of ethics for nurses
Healthy People 2020
The Recommended Baccalaureate Competencies and Curricular Guidelines
Provide restorative therapy programs designed for this group.
Ensure staffing numbers are adequate for dependent patients.
Encourage all nurses to obtain gerontologic certification.
Part A covers some prescription costs
Part B covers inpatient hospital costs
Part D eliminates the drug donut hole
Changing financial outlook
Becoming bored in retirement
A desire to give backThe Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of
Older Adults is an updated version of The Essentials of Baccalaureate Education for Professional
Nursing Practice. This document was first published by the American Association of Colleges of
Nursing (AACN) in 2008 and was updated in 2010. The other three documents do not have
information about curricular requirements to prepare students to care for the older population.
DIF: Applying (Application) REF: N/A OBJ: 1-2 TOP: Teaching-Learning MSC: Health Promotion
17. A nurse wants to plan a community event at a retirement center. What topic would
most likely be best received?
a.
Heart healthy living
b.
c.
d.
ANS: A
Older adults are demanding more programs and services aimed at health maintenance and
promotion and disease and disability prevention. Based on this information, the heart healthy living
presentation would be best received.
DIF: Applying (Application) REF: N/A OBJ: 1-3 TOP: Teaching-Learning MSC: Health Promotion
18. What does the bedside nurse understand about his or her role in nursing research?
a.
Research is only done by doctorally prepared nurses.
b.
c.
d.
All nurses have a role in delivering research-based care.
A bedside nurse can be part of a hospital research team.
The bedside nurse can collect data if the nurse has been properly
trained. ANS: B
All nurses are charged to deliver patient-centered care based on evidence-based practice,
research, quality improvement, and informatics. The bedside nurse is part of an interdisciplinary team
that is responsible for redesigning the health care structure of the future.
DIF: Understanding (Comprehension) REF: msc: 13 TOP: Teaching-Learning MSC: Safe Effective Care
Environment: Management of Care
MULTIPLE RESPONSE
1. The clinic nurse caring for an older diabetic patient with a sixth grade education anticipates
that the patient may experience difficulty (Select all that apply.)
a.
recognizing the importance of keeping clinic appointments.
b.
c.
d.
e.
following a low-carbohydrate diet.
paying for insulin and syringes.
deciding on a primary health care provider.
naming a health care
surrogate. ANS: A, B, C
Even though the educational level of the older population has steadily increased, as a population they are
less educated than the general population. This deficiency can account for a lack of understanding
regarding the need for medical care and the importance of following a treatment plan. These patients
8 | P a g e
Financial planning
Avoiding scams
Ethnic cooking classesmay also have fewer financial resources to devote to health care issues.
DIF: Analyzing (Analysis) REF: N/A OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
2. The nurse studying the history of gerontologic nursing learns which information about the
specialty? (Select all that apply.)
a.
The number of older Americans is diminishing.
b.
c.
d.
e.
ANS: B, C, E
The geriatric nursing conference group was established in 1962, the gerontologic clinical nurse
specialist certification was first offered in 1989, and the first Standards of Practice for Geriatric Nursing
was written in 1969. The population of older Americans is the fastest-growing subset of the population.
Writings about care of the aged can be found from as early as 1900.
DIF: Remembering (Knowledge) REF: msc: 2-3 OBJ: 1-2 TOP: Teaching-Learning MSC: Nursing Process:
Assessment
3. The student asks the gerontologic clinic nurse why so many older people are women. What
information does the nurse provide? (Select all that apply.)
a.
Reduced maternal mortality
b.
c.
d.
e.
Decreased deaths from infectious diseases
More deaths from chronic disease in men
More deaths in war occur in men
Women tend to smoke and drink less than
men ANS: A, C, D
A decrease in maternal mortality, decreased deaths from infectious diseases, and more chronic
illness in men account for the disparity in genders as people age. DIF: Understanding (Comprehension)
REF: msc: 6 OBJ: 1-5 TOP: Teaching-Learning MSC: Health Promotion
4. The gerontologic nurse plans community programming for older women, noting what facts
about this population subgroup? (Select all that apply.)
a.
More likely to live alone
b.
c.
d.
e.
ANS: A, B, D
Older women have a greater chance than men of living alone and in poverty. They also have a greater
degree of functional impairment and chronic disease.
9 | P a g e
Increased chance of living in poverty
Taking care of a spouse
Suffering many chronic diseases
Living with extended families
The geriatric nursing conference group was established in 1962.
The gerontologic clinical nurse specialist certification was offered in 1989.
There were no writings about the care of older persons until World War II.
The first Standards of Practice for Geriatric Nursing was written in 1969.DIF: Remembering (Knowledge) REF: msc: 6 OBJ: 1-5 TOP: Nursing Process: Analysis MSC: Health
Promotion
5. The nurse knows that the most common causes of death in the older population result
from which diseases? (Select all that apply.)
a.
Cerebrovascular disease
b.
c.
d.
e.
ANS: A, C, D
The most common causes of death in the older population are cerebrovascular disease, heart
conditions, and cancer. End-stage renal disease and diabetes are not among the top three causes of death.
End-stage kidney disease
Heart disease
Cancer
Diabetes
Chapter 2. Interprofessional Team Care
MULTIPLE CHOICE
1. What is the correct term for a concise, one- or two-msc: summary of educational and work
experience, activities and honors, and concrete skills and interests?
a.
Introduction
b.
c.
d.
ANS: C
A rsum is a one- or two-msc: summary of the applicants education and experience. PTS: 1 DIF: Cognitive
Level: Knowledge REF: msc: 2042
OBJ: 1 TOP: New graduate KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
2. An employee failed to perform the duties listed in the employment contract. What is the term
for this failure?
a.
b.
c.
d.
Lawsuit
Termination
Breach of contract
Reprimand
ANS: C
Failure by the nurse or employer to perform contractual duties is known as a breach of contract. A breach
10 | P a g e
Review
Rsum
Compositeof contract may result in a reprimand, termination, or lawsuit.
PTS: 1 DIF: Cognitive Level: Knowledge REF: msc: 2042 OBJ: 2 TOP: New graduate KEY: Nursing Process
Step: N/A MSC:NCLEX: N/A
3. What is the best way to resolve most disagreements?
a.
b.
c.
d.
ANS: C
Most problems can best be resolved by communication at the most basic level. PTS: 1 DIF: Cognitive Level:
Comprehension REF: msc: 2044
OBJ: 13 TOP: New graduate KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
4. What is another term for promotion?
a.
Reward
b.
c.
d.
ANS: B
Advancement may result from additional preparation or additional experience. It may be gained by
learning the position more thoroughly and by assuming new and greater responsibilities.
PTS: 1 DIF: Cognitive Level: Knowledge REF: msc: 2045 OBJ: 12 TOP: New graduate KEY: Nursing Process
Step: N/A MSC:NCLEX: N/A
5. When a rsum reflects too many job changes, the employer may question it. How long should
an employee remain at the first place of employment?
a.
b.
c.
d.
ANS: C
Resigning from a position properly is another skill that the LPN/LVN will need to have. Employers will
sometimes question a rsum that reflects frequent job changes; therefore, it is best to remain at the first
place of employment at least 1 year.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2045 OBJ: 1 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
6. Technical and scientific changes have resulted in a multiplicity and complexity of functions
placed on nurses, and sometimes job descriptions have not been rewritten. What is true of the
11 | P a g e
6 months
3 months
1 year
2 years
Advancement
Lift
Bubble
Agreement
Argument
Communication
Withdrawingrole of the LPN/LVN?
a.
b.
c.
d.
ANS: B
The role of the LPN/LVN is constantly changing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2045 OBJ: 6 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
7. Which organization specifically supports and meets the needs of the LVN/LPN?
a.
b.
c.
d.
ANS: A
National Association for Practical Nurse Education and Service (NAPNES) is the professional organization
that is specifically for LVN/LPNs. The National League for Nursing (NLN) and the American Nurses
Association (ANA) are not specific to the LPN. The National Council Licensure Exam (NCLEX) is the test
that is taken for licensure.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2047 OBJ: 5 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
8.A nurse may practice in another state if he or she has passed the NCLEX-PN examination in
the nurses own state and meets the other states educational requirements. What is the process
of transferring licensure from one state to another called?
a.
b.
c.
d.
ANS: C
This licensure transfer from one state to another is called endorsement. PTS: 1 DIF: Cognitive Level:
Knowledge REF: msc: 2051
OBJ: 10 TOP: Licensure KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
9. What is the name of the licensing law that defines the title and regulations governing the
practice of nursing and states the requirements for licensure?
12 | P a g e
Auxiliary
Co-licensure
Endorsement
Qualified licensure
NAPNES
NLN
ANA
NCLEX
It is constantly enlarging
It is constantly changing
It is constantly improving
It is constantly growinga.
b.
c.
d.
State practice act
Nurse regulation act
Nurse practice act
Legislative act
ANS: C
The nurse practice act defines the title and regulations governing the practice of nursing. PTS: 1 DIF:
Cognitive Level: Comprehension REF: msc: 2052
OBJ: 9 TOP: Licensure KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
10. What is the term for the commission of an act that a prudent nurse should not have done, or
the omission of an act a prudent nurse should have done, that results in injury or harm to
another person?
a.
b.
c.
d.
ANS: B
To qualify as negligence, it must be proved that a prudent member of the profession would have acted
differently.
PTS: 1 DIF: Cognitive Level: Knowledge REF: msc: 2052 OBJ: 10 TOP: Negligence KEY: Nursing Process
Step: N/A MSC:NCLEX: N/A
11. In what setting can the LPN/LVNs management and leadership skills be developed best?
a.
b.
c.
d.
ANS: D
Management and leadership skills of the LPN/LVN can best be developed in long-term care
settings with RN supervision.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2053 OBJ: 12 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
12. Which setting provides greater nurse autonomy and continuity of care and is less costly for
insurance companies?
a.
b.
13 | P a g e
Hospice
Hospitals
Acute care hospital
Rehabilitation hospital
Trauma center
Long-term care facility
Malpractice
Negligence
Neglect
Disregardc.
d.
Home health
Long-term care
ANS: C
The advantages of home health are greater nurse autonomy and continuity of care, as well as less cost to
insurance.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2053 OBJ: 12 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
13. Which employment setting would likely involve a daytime schedule with weekends off, and
would focus on prevention and patient teaching?
a.
b.
c.
d.
ANS: B
Physician offices typically involve a daytime schedule with most weekends off. The setting focuses on
prevention and includes opportunities for patient teaching.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2054 OBJ: 12 TOP: New graduate KEY: Nursing
Process Step: N/A MSC:NCLEX: N/A
14. Which health care employment setting would provide the nurse a very good salary, the
opportunity to refuse to take an assignment, and more flexibility in the personal schedule but
with an uncertainty of work availability?
a.
b.
c.
d.
ANS: A
In a temporary agency, the salary is good, and an LPN/LVN has the right to refuse assignments. However,
one disadvantage is the uncertainty of work availability.
PTS: 1 DIF: Cognitive Level: Application REF: msc: 2054 OBJ: 12 TOP: New graduate KEY: Nursing Process
Step: N/A MSC:NCLEX: N/A
15. In what employment setting does the nurse give total care to one patient; is totally
independent; provides care in the home, hospital, or other facility; is paid directly by the patient;
and is legally responsible for his or her own actions?
a.
b.
c.
14 | P a g e
Home health nursing
Private duty nursing
Patient care nursing
Temporary agency
Long-term care center
Outpatient clinic
Adult day care center
Long-term care
Physicians office
Hospice setting
Adult day cared.
Agency care nursing
ANS: B
The private duty nurse gives total care to one patient and is paid directly by the patient or responsible
party. The nurse is legally responsible for his or her own actions.
PTS: 1 DIF: Cognitive Level: Application REF: msc: 2055 OBJ: 12 TOP: New graduate KEY: Nursing Process
Step: N/A MSC:NCLEX: N/A
16.A new graduate who has achieved the goal of getting others to do something that is believed
necessary has demonstrated what skill?
a.
b.
c.
d.
ANS: B
Leadership is the art of getting others to want to do something that is perceived as necessary. PTS: 1 DIF:
Cognitive Level: Application REF: msc: 2056
OBJ: 13 TOP: New graduate KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
17. What type of leadership involves a leader who displays little trust or confidence in employees
and therefore makes all the decisions?
a.
b.
c.
d.
ANS: C
he autocratic leader displays little trust in employees, and therefore makes all decisions. PTS: 1 DIF:
Cognitive Level: Comprehension REF: msc: 2056
OBJ: 14 TOP: Leadership KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
18. What type of leadership uses four different stylesdirecting, coaching, supporting, and
delegating?
a.
b.
c.
d.
ANS: B
Situational leadership identifies four typical styles for leaders. PTS: 1 DIF: Cognitive Level:
Comprehension REF: msc: 2057 OBJ: 14 TOP: Leadership KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
15 | P a g e
Autocratic
Situational
Democratic
Authoritative
Democratic
Laissez-faire
Autocratic
Authoritative
Management
Leadership
Influence
Control19. What is the physical, emotional, and spiritual exhaustion that can occur among caregivers?
a.
Excessiveness
b.
c.
d.
ANS: B
Physical, emotional, and spiritual exhaustion among caregivers is sometimes called burnout. PTS: 1 DIF:
Cognitive Level: Comprehension REF: msc: 2061
OBJ: 22 TOP: Burnout KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
20. Why is it important for new graduates to purchase their own malpractice insurance rather
than depend on an institutional policy?
a.
b.
c.
d.
ANS: B
The new graduate should purchase private malpractice insurance in addition to that of the
institution to ensure that there is personal liability coverage. The private policy will cover the new
graduate at any nursing job in which they are employed. No malpractice insurance policy can guarantee
that there will not be any lawsuit or loss of license.
PTS: 1 DIF: Cognitive Level: Application REF: msc: 2061
OBJ: 21 TOP: Malpractice insurance KEY: Nursing Process Step: N/A MSC:NCLEX: N/A
MULTIPLE RESPONSE
21. What are considered duties of a team leader? (Select all that apply.)
a.
b.
c.
d.
e.
Receiving reports on assigned patients
Making patient assignments for team members
Assessing all assigned patients
Administering medications to all patients
Conferring with team members
ANS: A, B, C, E
Receiving reports on assigned patients, making patient assignments, assessing all assigned
patients, and conferring with team members are duties of the team leader. Assisting team members with
16 | P a g e
A private policy will not cover them unless they are on their primary job.
A private policy will carry personal liability coverage.
A private policy will protect them against all lawsuits.
A private policy will protect them from losing their license.
Burnout
Fatigue
Wearinessmedication administration is a duty of the team leader, not actually administering the medications to all the patients.
PTS: 1 DIF: Cognitive Level: Comprehension REF: msc: 2057 OBJ: 15 TOP: Team leading KEY: Nursing Process Step: N/A MSC:NCLEX: N/A 22. Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.)
a. b. c. d. e.
ANS: B, D
Dark shades or room darkening blinds will block the sunshine and allow for darkness when sleeping during the daytime hours. Wear sunglasses on the drive home from work to reduce the melatoninreducing effect of sunshine. It is best to eat light, balanced meals during the night.
Sedatives and alcohol should not be used as an aid to sleep [Show Less]